MEDICARE: WALLS COUNSELING PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	103T00000X	Psychologist
3	1041C0700X	Clinical Social Worker
4	101YP2500X	Professional Counselor
5	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1891433421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALLS COUNSELING PC

Provider Business Mailing Address
First Line	:	731 N WEBER ST STE 205
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1058
Country	:	US
Telephone Number	:	719-301-5458
Fax Number	:

Provider Business Practice Location Address
First Line	:	731 N WEBER ST STE 205
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1058
Country	:	US
Telephone Number	:	719-362-0558
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ COUNSELOR
Name	:	WILL WALLS
Credential	:	MA, LPC, LAC, NCC
Telephone Number	:	719-339-6147

Provider Enumeration Date	:	05/24/2022
Last Update Date	:	11/25/2025

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